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Left ventricular aneurysm. The Wessex experience.
British Heart Journal
|September 1, 1985
Summary
Surgical repair of left ventricular aneurysms can be performed with low operative mortality. This procedure offers good long-term survival and improved quality of life for patients with left ventricular aneurysm.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery
- Aneurysm Repair
Background:
- Left ventricular aneurysms are a serious complication of myocardial infarction.
- Indications for surgery include heart failure, angina, and arrhythmias.
Purpose of the Study:
- To evaluate the outcomes of surgical intervention for left ventricular aneurysms.
- To assess the early mortality, long-term survival, and functional status after surgery.
Main Methods:
- A retrospective analysis of 100 patients who underwent surgery for left ventricular aneurysms between 1973 and 1983.
- Procedures included aneurysmectomy, plication, mitral valve replacement, and coronary artery bypass grafting.
- Patient data included indications for surgery, infarct location, and perioperative outcomes.
Main Results:
- The early mortality rate was 7%, with no deaths since 1978.
- Actuarial five-year survival was 68%.
- 82% of survivors were in New York Heart Association class I or II after a mean follow-up of three years.
Conclusions:
- Left ventricular aneurysmectomy can be performed with acceptable operative risk.
- Surgical treatment yields favorable long-term survival and functional outcomes.